National Provider Identifier

Raisa Ahmed, OD

Raisa Ahmed, OD is listed in the NPPES registry with a primary specialty of Optometrist in Ithaca, NY and a listed phone number of (607) 330-9004.

NPI 1487331542Ithaca, NYOptometrist

Profile Overview

NPI
1487331542
Provider Type
Individual
Primary Specialty
Optometrist
Enumeration Date
June 30, 2023
Last Updated
June 30, 2023

Practice Location

  • 748 S Meadow St
  • Ithaca, NY 14850-5374

Phone: (607) 330-9004

Specialties

  • Optometrist (152W00000X)
Full Record
NPI
1487331542
Entity Type
Individual
Last Name
Ahmed
First Name
Raisa
Name Prefix
Dr.
Credential
OD
Mailing Street Address
748 S Meadow St
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-5374
Mailing Country
US
Mailing Phone
(607) 330-9004
Practice Street Address
748 S Meadow St
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-5374
Practice Country
US
Practice Phone
(607) 330-9004
Enumeration Date
June 30, 2023
Last Updated
June 30, 2023
Sex
Female
Sole Proprietor
No
Certification Date
June 30, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Optometrist (152W00000X)